Free Beer and Wine Imported into California - California

BoE-269-A (Front) rEV. 7 (10-08)

StAtE oF CALIFornIA

BEER AND WINE IMPORTED INTO CALIFORNIA
Please read the instructions on the reverse before preparing this report.
ACCoUnt nUMBEr For Month oF

BoArD oF EQUALIZAtIon

Year
ADDrESS (street, city, state, and zip code)

Page

of

Pages

tAXPAYEr (name of importer)

NAME OF SHIPPER CITY AND STATE

NAME OF COMMON CARRIER

BOE USE ONLY CODE NUMBER

R.R. CAR NO. NAME OF VESSEL AND VOYAGE NO. OR TRAILER NO.

WAYBILL, BILL OF LADING, OR FREIGHT BILL NUMBER DATE

STILL WINE PURCHASED FROM INVOICE NO. DATE RECEIVED BEER GALLONS NOT OVER 14 PERCENT GALLONS OVER 14 PERCENT GALLONS

SPARkLING WINE GALLONS

A

B

C

D

E

F

G

H

I

j

k

L

M

totals for Current Month to Date Brought Forward

1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
TOTALS

74-00

74-00

74-00

74-00

74-00

74-00

74-00

74-00

74-00

74-00

The original of this report must be mailed to the State Board of Equalization, 450 N Street, MIC:56, P.O. Box 942879, Sacramento, CA 94279-0056. CLEAR PRINT

BoE-269-A (BACK) rEV. 7 (10-08)

INSTRUCTIONS BEER AND WINE IMPORTED INTO CALIFORNIA

Prepare report in duplicate, retain copy, mail original to State Board of Equalization, Excise taxes Division, 450 n Street, MIC:56, P.o. Box 942879, Sacramento, California 94279-0056. A report on this form must be completed in full and mailed on or before the fifteenth day of each month showing all shipments of beer and wine received from a point outside of California.

PREPARATION OF REPORT Column A. Enter the name of shipper and the city and state or country in which the shipment originated. Enter name of carrier transporting shipment into California. Do not write in this column--it is for BoE use only. If shipment entered California by water, the voyage number and the name of the vessel in which the shipment was transported into California must be shown. If the shipment entered California in a railroad car, the car number in which the shipment was contained must be shown. If the shipment entered California by motor carrier, the truck trailer number must be shown. Columns E and F. Column Column Column Column G. H. I. j.

Column Column Column

B. C. D.

Show the bill of lading, waybill, or freight bill number and date. Enter the name of the person of firm from whom the merchandise was purchased. Enter invoice number covering the shipment. Enter date merchandise was received. Regulation 2558 may require you to adjust how you report your beer gallons. Beer gallons reported on this return should only include beer brands in which the manufacturer or importer has successfully rebutted the presumption under Regulation 2559 and 2559.1. Beer brands in which the manufacturer or importer has successfully rebutted the presumption are listed on the BOE website at www.boe.ca.gov/sptaxprog/alcoholicbeverage.htm. Alcohol gallons other than wine that are not listed on the BOE website should be reported on your distilled spirits tax return. Enter total gallons of wine not over 14 percent contained in the shipment. Enter total gallons of wine over 14 percent contained in the shipment. Enter total gallons of sparkling wine contained in the shipment.

Column Column Column

k. L. M.

If you wish additional information, please contact the State Board of Equalization, Excise Taxes Division, 450 N Street, P.O. Box 942879, Sacramento, CA 94279-0056, Telephone 800-400-7115.